EUGINIA NYATHI NTOMBIFUTHI

ID 800**********

***Castaletto

Elandspoort

0183

Cell No 079-****-***

Email: ac266m@r.postjobfree.com

Drivers Licence : Code 08

Educational Qualification

School Attended : Tokelo Secondary School

Year : 1999

Qualification : Matric/Grade 12

Subject s passed : Zulu, English, Afrikaans, Economic, Business Economic and Accounting

Tertiary Qualifications

1. Institution : Sedibeng (College FET)

Year : 2004

Qualification : N4 Business Management Certificate

Major Subjects : Financial Accounting

: Computer Practice

: Management Communication

: Entrepreneurship

2. Institution : Informage Rims Group

Year : 2007

Qualifications : International Call Centre & Call Centre Agents

: Call Centre Support & Contact Centre

Skills : Basic office Administration Skill

: Computer Skills Windows (2007), Microsoft Office Word (2007)

: Microsoft Office Excel (2007), Microsoft Office Access (2007)

: Microsoft Office Power Point (2007)

3. Institution : Pretoria College Campus

Year : 2009

Qualifications : Diploma in Office Administration

Skills : Learn switchboard skills

: Direct telephone calls to the correct personnel

: Dealing with enquiries – written and telephonic

: Telephone etiquette

: The impact of customer relationship management

: Ethics in dealing with customer

: Handling of complaints

: Using various filing system

: Making local and international travel arrangements

: Co-ordinating events and function

: Making reservations

: Handling petty cash

: Origin and sourcing documents in business image

: Personal attributes of the receptionist

: Maintaining a professional image

: Business etiquette & Office protocol

: Developing an appropriate level of assertiveness

: Stress management techniques

: Business communication

oUnderstanding the dynamic of the different modes of communication.

oMaintaining professional in all forms of written communication.

oProblem-solving by communication

oCommunication skills for internal and external custom

SKILLS AND ABILITIES

Proficiency in English, Zulu, Xhosa, Sesotho, and Tswana, Leadership, Problem solving.Negotiating

Strategy Formulation and Implementation

I am highly organized and dedicated with positive attitude

Highly resourceful skilled in analysis and problem solving

Excellent interpersonal communication skills

Work well under pressure with ability to meet demanding deadlines

Creative, Innovative and proactive

Ability to work with people of diverse ethnical, culture and economic background.

WORK EXPERIENCE

1. Metropolitan Health Group (Financial Service Industry)

a. Client Service Agents: Call Centre 2008 -2009

Receive varied calls randomly via Atio System or help desk enquiries pertaining to: Medical Aid Benefit, Medical Aid Claims, MA Chronic Medicine, MA Premium

Interpret the enquiry and determine the appropriate path of resolution

Analyse and extract appropriate information and determine response to client enquiry

Refer client to a liaise with Business Partners where required

Ensure accurate logging of enquiries for statistical and trustee report purposes

b. Admin Clerk: Premium Department Management 2009- 2011

To provide administrative support for the membership department thereby ensuring the efficient flow of work in and out of the department.

Record all incoming correspondence (new member application)

Fax all urgent correspondence, Email Administration, Order Stationary, Daily internal filling

Send correspondence for typing, either post, return to clerks

Monitor outstanding document for the Premium Management Department.

Receive calls, deal with help desk enquiries and refer/or channel client to the relevant people

c. Claims Assessor: Claims Department 2011 - 2013

Check the member claims history for a particular service provider, pay all the hospital claims, private clinic and different doctors, all must be processed for payment within turnaround time SLA according to scheme rules.

Determine what is settle and what must be processed for payment, if there is a bookkeeping error reflect on the account, the assessor must investigate the error

The assessor must capture all the information on the claims, membership number, doctors practice number, date of service, claims number reference, icd-10 code, tariff code, nappi code, modifiers and multipliers in appropriate fields, when applicable, total amount, all must be process for payment.

Assessor must be able to identify claims to detect any fraudulent charges.

Duplication of service, Overpricing medication, Changing of Service.

Reconcile all the short payment account from providers and also with hospital account.

2. University of South Africa (Unisa)

Admin Clerk Contract: March 2015 - June2015

Collect marked assignments, test book and portfolios from academic department daily

Sorting according to the following categories:

oOrdinary assignments

oTest book

oPortfolios

oNational (SA) and international address

inserting assignments, portfolios and test book into paper envelopes or plastic paper bag

Paste track and stickers on portfolios record on the student system

Record all outgoing test book on an excel spread sheet

Count and pack into SAPO mail bins

Deliver all post ready bins to Mail Service for further handling with Post Office

3. Medikredit medical aid industry (Gems Government Employees)

Customer Care Consultant Pharmaceutical Benefits Management Consultant

Contract: December 2015 - 31 December 2016

Received Call and logging

Correspondence and resolving query

Interpret the enquiry and determine the appropriate path of resolution

Analyze and extract appropriate information and determine response to client enquiry

Refer client to a liaise with Business Partners where required

Ensure accurate logging of enquiries for statistical and trustee report purposes

Receiving email query from the (SPN) services provider network

Email must be attended within turn around time according to the scheme rules

Should it need to be investigated or escalated to the supervisor manager within 24hrs

Email must be professional at all time message must be clear and understood protocol.

REFERENCES

Contact Person : Vusi Majola

Team Leader : (Medikredit )Client Service Agents

Cell phone : 071-***-****/011-***-****

Contact Person : Samuel Maunatlala

Team Leader : Unisa Despatch Assignments Department

Cellphone : 083-****-***

Contact Person : Thandi Xaba

Team Leader : (MHG)Claims assessor

Contact no : 011-***-****/072-***-*****

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